A moving, witty memoir chronicling the nearly 20 years since Carmen Ambrosio, a native of the Virgin Islands who moved to the frozen tundra of the Midwest to attend college, learned she had multiple sclerosis.

In a format mimicking the unpredictable course of MS, the now middle-aged and married Ambrosio’s narrative of compelling and humorous personal essays and poems recounts how she deals with the arrival of “Duct Tape Days,” walking like Frankenstein, recent menopausal moments, and other physical and emotional challenges.